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Transperineal endoscopic approach with GelPOINT V-path in laparoscopic pelvic exenteration for postirradiated recurrent cervical cancer.
- Source :
-
Gynecologic oncology reports [Gynecol Oncol Rep] 2023 Oct 07; Vol. 50, pp. 101291. Date of Electronic Publication: 2023 Oct 07 (Print Publication: 2023). - Publication Year :
- 2023
-
Abstract
- Pelvic exenteration (PE) is a highly invasive procedure associated with high morbidity and mortality rates. Laparoscopy is a promising option to reduce this invasiveness, and laparoscopic PE significantly reduces blood loss and shortens hospital stays. In the case of a large tumor with invasion to the surrounding organs, laparoscopic dissection around the pelvic floor is sometimes problematic owing to restrictions on handling instruments. To overcome these limitations, we performed a transperineal endoscopic approach using the GelPOINT V-path in addition to laparoscopic PE. This approach enabled dissection around the pelvic floor without the abovementioned obstacles under magnified visualization. As a result, we could dissect the pelvic floor precisely with a reduction of the dead pelvic space, which might contribute to reduced rates of postoperative complications while ensuring oncologic outcomes.<br />Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.<br /> (© 2023 The Authors. Published by Elsevier Inc.)
Details
- Language :
- English
- ISSN :
- 2352-5789
- Volume :
- 50
- Database :
- MEDLINE
- Journal :
- Gynecologic oncology reports
- Publication Type :
- Report
- Accession number :
- 37860080
- Full Text :
- https://doi.org/10.1016/j.gore.2023.101291